Individual
DR. ANNETTE S THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
161 MAYWOOD WAY, SAN RAFAEL, CA 94901
(831) 625-9403
Mailing address
161 MAYWOOD WAY, SAN RAFAEL, CA 94901
(831) 233-8824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3643
AK
207R00000X
Internal Medicine Physician
Primary
A31526
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
3643
AK
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
A31526
CA
2083P0901X
Public Health & General Preventive Medicine Physician
3643
AK
2083P0901X
Public Health & General Preventive Medicine Physician
A31526
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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